Grievance Report

Grievance Report Form

If a resolution cannot be determined or agreed upon, you may file a written grievance report. This grievance will be reviewed and investigated by the Chief Operating Officer. The grievant will be contacted within 5 business days to discuss the matter and a decision rendered within 15 business days.

Please fill out the Grievance Report Form below. Be sure to hit the "Submit" button. You will receive a confirmation email immediately

Name *

First

Last

Date of Incident *

Individuals Involved in the Incident *

Date of Step 1 Meeting (required): *

Describe how you believe you were treated unfairly or unjustly. Please provide specific names, dates, and titles of documents being referenced. Please attach any supporting documentation. *

Please attach supporting documents here.

Click or drag files to this area to upload. You can upload up to 5 files.

Detail who you met with during the Step 1 Meeting, what was discussed/reviewed, and what were possible resolutions. Please attach any supporting documentation. *

Please attach supporting documents here.

Click or drag files to this area to upload. You can upload up to 5 files.

Explain why you reject these resolutions. *

Identify your preferred resolution. *